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CAR T-cell Therapy
HPV Specific T Cells + Immunotherapy for Cancer (HESTIA Trial)
Phase 1
Waitlist Available
Led By Carlos Ramos, MD
Research Sponsored by Baylor College of Medicine
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
PROCUREMENT
Age ≥ 18 years.
Must not have
Severe intercurrent infection.
Known HIV positivity.
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 6 weeks
Awards & highlights
No Placebo-Only Group
Summary
This trial is for people with HPV-associated cancers that have come back or have not gone away after standard treatment, or for whom standard treatment is not an option. The trial will test a new experimental treatment consisting of special immune system cells called HPVST cells.
Who is the study for?
This trial is for adults over 18 with recurrent or persistent HPV-associated cancers after standard treatment, or those who can't receive standard therapy. Participants need a Karnofsky score of at least 50%, indicating they are able to perform daily activities. They must have a life expectancy of more than 6 weeks, adequate organ function, and agree to use effective birth control. People with HIV, current investigational treatments, severe infections, or who are pregnant cannot join.
What is being tested?
The study tests HPV-specific T cells (HPVST) designed to fight cancer by targeting the virus that causes it. The first group receives only these cells; if safe, another group will get them plus Nivolumab—an FDA-approved antibody—in a lymphodepleted state to potentially enhance effectiveness.
What are the potential side effects?
Possible side effects include reactions related to immune system activation such as fatigue, fever and chills during infusion of T cells. Nivolumab may cause skin rash, digestive issues like diarrhea or liver inflammation which could lead to jaundice.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I am 18 years old or older.
Select...
My cancer has come back or didn't respond to treatment, or I can't have standard treatment.
Select...
My kidney function is good, with a GFR over 30 mL/min.
Select...
I am able to care for myself but cannot do normal activities or work.
Select...
My cancer is linked to high-risk HPV.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I do not have a severe ongoing infection.
Select...
I am HIV positive.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ 6 weeks
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~6 weeks
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Number of patients with dose limiting toxicity (DLT)
Secondary study objectives
Overall response rate
Awards & Highlights
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
2Treatment groups
Experimental Treatment
Group I: Group BExperimental Treatment4 Interventions
HPV Specific T Cells plus lymphodepletion (Cytoxan and Fludarabine) and nivolumab
Group II: Group AExperimental Treatment1 Intervention
HPV Specific T Cells
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Nivolumab
2015
Completed Phase 3
~4010
Cytoxan
2007
Completed Phase 3
~1460
Fludarabine
2012
Completed Phase 4
~1860
Find a Location
Who is running the clinical trial?
Center for Cell and Gene Therapy, Baylor College of MedicineOTHER
112 Previous Clinical Trials
2,823 Total Patients Enrolled
The Methodist Hospital Research InstituteOTHER
285 Previous Clinical Trials
81,654 Total Patients Enrolled
Baylor College of MedicineLead Sponsor
1,024 Previous Clinical Trials
6,029,502 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I am 18 years old or older.I am not currently on experimental drugs or had cancer vaccines or T cell treatments in the last 4 weeks.I am able to care for myself but cannot do normal activities or work.You are already undergoing treatment for your condition.My cancer has come back or didn't respond to treatment, or I can't have standard treatment.My kidney function is good, with a GFR over 30 mL/min.I do not have a severe ongoing infection.I agree to use effective birth control during and 6 months after the study.My cancer is linked to high-risk HPV.I am HIV positive.
Research Study Groups:
This trial has the following groups:- Group 1: Group A
- Group 2: Group B
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
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